Organization
EMPOWERED LIVING COMMUNITY CENTER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAIKEL ROQUE RUANO (PRESIDENT)
(786) 547-1568
Entity
Organization
Contact information
Practice address
950 SW 57TH AVE APT 704, WEST MIAMI, FL 33144-5094
(786) 547-1568
Mailing address
950 SW 57TH AVE APT 304, WEST MIAMI, FL 33144-5087
(786) 547-1568
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
02/14/2021
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